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E1590. Imaging of Post-Partum and Post-Termination Complications
Authors
  1. Maria Inês Novis; Fleury Medicina e Saúde
  2. Clarissa Pancotte; Fleury Medicina e Saúde
  3. Ana Paula Moura; Fleury Medicina e Saúde
Background
Postpartum and post-termination complications are a common source of morbidity and mortality for women of reproductive age. Imaging, particularly Computerized Tomography (CT) and Magnetic Resonance Imaging (MRI), are often supplementary to the clinical history and examination in assessing women during the postpartum and post-terminantion period. Various etiologies may be related to postpartum and post-abortion complications as infectious, vascular, surgical or other kind of complications related to abnormal placentation.

Educational Goals / Teaching Points
Recognize normal postpartum and posttermination aspects of pelvic organs and possible pitfalls. Describe the most common postpartum complications illustrating with didactic images. Review the radiographic appearance of these complications with emphasis on CT and MRI. Discuss the clinical significance of these complications and further management.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Different well illustrated examinations, mostly CT and MRI, of several obstetric complications, for example: post-curettage uterine rupture, post-cesarean vesicouterine fistula, postpartum arteriovenous fistulae, ovular remains, synechia, postpartum arterial dissection, bladder flap hematoma.

Conclusion
Imaging methods, particularly CT and MRI, can diagnose different obstetric complications, providing important information that will guide medical conduct. Radiologists must be aware with imaging features in postpartum and post-abortion period that can lead to accurate and appropriate management of these conditions.